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1104481969
SARA PORTILLO
FAIRFIELD, CA
NPI
1104481969
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2019-05-07
Last Update Date
2020-03-05
Business Address
SARA PORTILLO
801 EMPIRE ST
FAIRFIELD, CA 94533-5702
Phone number: 707-425-5744
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Mailing Address
SARA PORTILLO
801 EMPIRE ST
FAIRFIELD, CA 94533-5702
Phone number: 707-425-5744
Copy
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